| 失效模式和效应分析在髋关节置换术后护理中的应用 |
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| 引用本文： | 陈翠萍,刘洁珍,高兴华,田荔珍. 失效模式和效应分析在髋关节置换术后护理中的应用[J]. 护理学杂志, 2010, 25(18). DOI: 10.3870/hlxzz.2010.18.004 |
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| 作者姓名： | 陈翠萍 刘洁珍 高兴华 田荔珍 |
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| 作者单位： | 广州市第一人民医院关节外科,广东,广州,510080;广州市第一人民医院关节外科,广东,广州,510080;广州市第一人民医院关节外科,广东,广州,510080;广州市第一人民医院关节外科,广东,广州,510080 |
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| 摘 要： | 目的探讨失效模式和效应分析(FMEA)在髋关节置换术后护理中的应用效果。方法将2009年1～6月收治的28例全髋关节置换术患者设为对照组,围手术期按骨科护理常规护理;2009年7～12月收治的30例髋关节置换术患者设为观察组,在围手术期除执行骨科护理常规外,还运用FMEA对髋关节置换术后可能发生脱位的失效模式进行前瞻性原因和操作流程分析、评估、计算,找出导致术后关节脱位的最高危因素及高危操作步骤,制定防范的优先行动计划和改进措施。结果观察组6个高危因子的危机值显著低于对照组(均P0.01);两组患者对防脱位相关知识掌握程度、住院时间、满意度比较,差异有统计学意义(P0.05,P0.01)。观察组住院期间人工关节未发生脱位,对照组发生脱位1例。结论应用FMEA对髋关节置换手术后患者进行评估、分析和采取相关措施,能有效防范风险,降低术后脱位的发生,提高护理质量,促进患者康复。
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| 关 键 词： | 髋关节置换术 失效模式和效应分析 人工关节脱位 满意度 术后护理 |
Failure mode and effect analysis applied in postoperative care of total hip arthroplasty |
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| Chen Cuiping,Liu Jiezhen,Gao Xinghua,Tian Lizhen. Failure mode and effect analysis applied in postoperative care of total hip arthroplasty[J]. Journal of Nursing Science, 2010, 25(18). DOI: 10.3870/hlxzz.2010.18.004 |
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| Authors: | Chen Cuiping Liu Jiezhen Gao Xinghua Tian Lizhen |
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| Abstract: | Objective To observe the effect of failure mode and effect analysis used in postoperative care of total hip arthroplasty (THA).Methods A total of 28 cases undergoing THA from January to June in 2009 were chosen as the control group,30 cases undergoing THA from July to December in 2009 were assigned as the observation group.Routine orthopedic nursing care was delivered to the control group,while failure mode and effect analysis additionally was applied to the observation group:the high risk factors of hip jo... |
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| Keywords: | total hip arthroplasty failure mode and effect analysis dislocation of artificial hip joint patient satisfaction postoperative nursing care |
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